Teen Vaping is Down, But Nicotine Use is Up – Here’s Why

There’s a new nicotine trend taking hold among teens, and it’s not vaping. Usage of this product amongst high schoolers nearly doubled between 2023 and 2024, fueled by the aggressive marketing and the promise of being “tobacco-free.” 

Unfortunately, these small, flavored pouches are packed with potent doses of nicotine that make them highly addictive and especially harmful to teens who are intrigued by the discreet packaging, affordable price ($4-6 per pack), and accessibility. 

Many teens believe these products are safer than smoking or vaping, but the truth is nicotine pouches pose serious risks to youth health like addiction, brain development issues, and other long-term impacts.

What are Nicotine Pouches?

Nicotine pouches are compact, white packets that contain nicotine, flavorings, and other ingredients, but no tobacco. The pouch is tucked between a person’s lip or cheek where the nicotine is absorbed into the bloodstream through the mucus membranes in the mouth. 

The pouches can be left in the mouth for 15 to 60 minutes, but there are no directions that explicitly share the instructions (seriously – try and find more specific directions for use. We’ll wait.) Because nicotine pouches do not produce smoke or vapor, they’re harder for parents to detect.

The nicotine in these products are either synthetic or derived from tobacco and can come in a variety of flavors. Typically, the nicotine pouches are sold in tins of 15 to 20 pouches and can be sold in a variety of nicotine strengths.

For example, the popular brand Zyn offers both 3 mg and 6 mg of nicotine per pouch. Other brands like Velo, Rogue, or On! can range from 2-30 mg per pouch!

The nicotine ingested from one 6 mg Zyn would be the equivalent to smoking 2-3 cigarettes, and users are not aware of the full nicotine amount in each pouch, which means some are using multiple pouches a day!​

Here’s Why Nicotine Pouches Are Harmful to Youth

Nicotine pouches may seem like a safer alternative to smoking or vaping for teens who aren’t familiar with the health risks, but these pouches still deliver high doses of nicotine – a highly addictive and harmful substance, especially for teens with growing brains. 

Despite lacking tobacco, these products contain synthetic or purified nicotine that can disrupt brain development, harm learning and memory, and increase vulnerability to addiction, especially if there’s a family history of addiction. 

In fact, nicotine itself can damage the heart, increase heart rate and blood pressure, and harden arteries over time. Mental health isn’t spared either – mental health issues like anxiety, irritability, and mood swings can be increased by nicotine use.

Signs Your Teen Might Be Using Nicotine Pouches

Nicotine pouch use can be subtle, but there are warning signs:

  • Look for mood changes like irritability, anxiety, or restlessness, which may signal nicotine withdrawal
  • Physical symptoms like frequent  headaches, nausea, or dizziness without a clear cause can also be a clue
  • Finding small round tins, white gum-like pouches, or noticing fruity or minty smells may indicate use
  • Gum or mouth irritation is another possible sign

How to Talk to Your Teen About Nicotine Pouches

  • Get Prepared: You’ll want to share the physical and mental health risks of using nicotine with your child to support your stance. Here’s a quick recap of all we’ve discussed so far:
      • Nicotine is not safe for youth. Using nicotine during adolescence can:
      • Greatly increase the risk of addiction to nicotine, especially if there is a family history of addiction
      • Harm brain development, which continues until about age 25!
      • Negatively impact learning, memory, and attention now and into adulthood
      • Nicotine can increase mood swings, anxiety, and irritability

  • Set Expectations: You’ll want to explain your family rules about nicotine use to your child, including consequences, with consistency and care. Make sure you’re clear on these expectations and consequences yourself before talking to your child, so you can clearly explain them during your conversations. Find help with setting expectations here. 😉

  • Lead with Curiosity, Not Confrontation: Remember, the goal is to build and grow a relationship with your teen that is honest, trusting, and open – which is an important protective factor to safeguard them from nicotine and other substance use! 
      • Start your conversations calmly; practice refraining from judgement or anger
      • It’s more important – and effective– to listen and discuss rather than to lecture
      • Take a strong stance against teen nicotine use, expressing care and concern 
      • Be curious and open-minded about kids’ experiences: ask them what they think, know, or have heard about nicotine pouches (like Zyn) or if anyone at school uses them
      • Emphasize the health and independence of a no-nicotine lifestyle, which appeals to their sense of autonomy and long-term goals
      • Give your child the opportunity to ask you questions – even if you don’t know the answer, you can look into it together!
      • Keep the dialogue open and let them know they can come to you with more questions or for help

  • Talk Often!: Have regular conversations about your nicotine-free expectations, including cigarettes, vapes, and nicotine products like pouches, lozenges, and gum.
      • These conversations are more likely to be successful when they take place more casually like while driving in the car, taking a walk, or washing dishes after dinner
      • Taking advantage of these smaller moments and potential in-roads will help the conversation seem less threatening and more natural
      • Use the environment to spur conversation, like when you see an advertisement for nicotine pouches or other products, or watching a movie with your teen that shows nicotine use

What Else Can Parents Do?

  • Let your child know you will help them if they’re using nicotine to seek relief from anxiety, stress, etc. Assure your child that their mental well-being is a priority and that they have options for relief other than taking matters into their own hands. Discuss the steps to legally and safely obtain appropriate medications from a doctor, if needed.
  • Prepare kids for peer pressure. It might sound cheesy, but these roleplays let your child know you support them and they do help give them confidence if a situation arises where they need to say “no.” You can also work with your teen to come up with a code word to text you if they feel like they need your help to get out of an unsafe situation.
  • Find support from your child’s dentist, coaches, doctor, youth leaders, and teachers.
    Ask them if they can help support your nicotine-free expectations in their interactions with your child. Make the ask even easier by bringing a handout like this to refer to and leave with them. Building a village of support is so important to prevention, and can be especially crucial if you suspect your child may be using nicotine.
  • Support teens who want to quit nicotine without stigma or shame. If a teen you know wants to quit, they can get free, confidential support from a My Life My Quit coach at MO.MyLifeMyQuit.org. They can also text ‘Start My Quit’ to 36072. This local cessation resource sends them tips to help them quit nicotine for good.

The bottom line: No matter the device or method, nicotine is harmful for kids. Stay informed. Stay connected. Keep the conversation going. You’ve got this!

A Clear Message from Clay, Platte and Ray Prosecutors: “Don’t Provide Alcohol to Minors”

As the school year wraps up and the summer season approaches, Parent Up is joining with local prosecutors and prevention coalitions to remind parents and caring adults of their crucial role in preventing underage drinking.

The overwhelming majority of youth are not engaging in substance use because the adults in their lives are protecting their health and safety.

Local prosecutors witness first-hand the tragic and avoidable harm caused by alcohol and drug misuse, and feel the negative consequences are even more significant when it happens among teens.

In response, our prosecuting attorneys in Clay, Platte, and Ray counties have partnered with Parent Up’s Parent are Rock Stars campaign and have issued letters to Northland parents and caregivers, reminding them that providing alcohol to anyone under the age of 21 is illegal—and encouraging them to talk to their children about remaining alcohol-free. This partnership aims to empower all Northland parents and caregivers to set firm boundaries, have clear conversations, and take action appropriate action if they learn of underage drinking. Read each county prosecutor’s letter below:

This partnership aims to empower all Northland parents and caregivers to set firm boundaries, have clear conversations, and take action appropriate action if they learn of underage drinking.

Parent Up is here to help as we navigate these discussions with our kids and fellow parents. We have age appropriate conversation guides, tips for navigating the prom and graduation season, and some creative ideas for you to take action if you know of adults who are providing alcohol to minors.

If you want to learn more about how you can help or need resources to talk to your child about alcohol, head on over to our Alcohol Page.

– Parent Up Staff

A Letter to the Parents of Our 2023 High School Graduates

Dear Parents and Guardians,

Graduation is upon us and it’s time to celebrate your child’s accomplishments and achievements! As you prepare to launch your child into adulthood, keep in mind that most kids value their parent’s advice when it comes to drugs and alcohol.

Parent Up is here with some reminders and action steps about how you can protect their celebration and their future:

  • Communicate with your teen that alcohol is bad for their brain and they should not drink before age 21. Drinking by those below the age of 21 is strongly linked with increased risk for alcohol dependence later in life because the brain is still developing until the mid-twenties. Minors who drink are also more likely to use other drugs, have poorer academic performance, engage in risky sexual behaviors, and be injured or assaulted. Tell your child you don’t want them to risk their future, reputation, or safety, and you expect them to remain alcohol-free.
  • Create a game plan with your child so if they are offered alcohol, they know what to do. For example, help brainstorm excuses for saying no or develop a code word that your child can text you to let you know they are in a situation where they feel unsafe.
  • Stick with the majority of Northland parents that don’t provide alcohol or allow their child to drink, even on special occasions like graduation! Research shows that when parents allow, provide, or supervise teen drinking, it sends a false message that alcohol is safe for their underdeveloped brain.

By working together with your teen, expressing your concern for their health and safety, and setting clear and consistent expectations, you can ensure that this celebration is a positive memory they’ll have forever. Congratulations to all the graduates of the class of 2023!

Best regards,
Parent Up KC

The Parent Up campaign empowers and equips KC Northland parents to care, connect, communicate, and pay careful attention to their child in order to prevent teen substance use. Follow us on Facebook @ParentUp.

Underage Drinking: It’s on Us to Protect Kids

by Parent Up Staff

As adults we have the opportunity, and the obligation, to do everything we can to make sure our young people have healthy and bright futures. Adults working together can support policies, attitudes, and actions that prevent underage drinking and help youth thrive. Read on to see how you can help: 

Why should we care about preventing underage drinking?

The teen years are a sensitive time for brain development and underage drinking only adds fuel to the fire. The years between childhood and adulthood aren’t the easiest and youth need help from adults along the way. Underage drinking and teen drug use can negatively affect young people’s school performance, future job prospects, and physical and mental health, damaging their lives well into adulthood. 90% of adults with substance use disorders started using alcohol or other drugs in their teen years, so it’s important to take early and ongoing action.

What impacts a teen’s likelihood to drink alcohol?

While kids are the ones who take the drink, there are a lot of factors outside the teen that lead to this decision. When alcohol is more available, youth are more likely to drink. Also, when teens think it is “ok” or “cool,” or the adults around them allow minors to drink, they are more likely to drink alcohol. Finally, when teens think they are safe from any harm, like legal trouble, we see rates of teen drinking increase. Each of these factors can be addressed at a community level and Parent Up asks for all adults to help protect our youth.

What steps can adults take to help reduce underage drinking in our community?

Adults can help reduce the number of teens drinking by:

  1. Refusing to provide alcohol to minors—even during special occasions. When adults refuse, fewer kids use.  
  2. Letting the youth in your life know you care about their mental well-being.  If they’re feeling stressed, anxious, depressed, or bored, adults can help find healthy solutions for relief rather than them turning to alcohol or other drugs. 
  3. Setting clear, no alcohol use expectations with the kids in your life. When adults set boundaries and stand firm, kids feel safe and know what to do when peer pressure mounts.
  4. Making a game plan with the teens in your life before they go out or spend time with friends, so they know what is expected and how to refuse if alcohol is offered.  

At Parent Up, our hope is to help equip parents and other caring adults with tools and resources to help prevent substance use of any kind by youth. Thank you for caring and thanks for taking action to help! For more tips, tools, and resources on youth alcohol use or preventing any drug use with our teens, feel free to explore around ParentUpKC.com

Drawing Boundaries for Safe, Healthy Kids

Diane Pickert is a Community Prevention Specialist at Tri-County Mental Health Services in Kansas City, MO.  Her background education is in Early Childhood Development, Communication, and Religious Education.  She’s finishing her Masters at the moment from Maryvale Institute in Birmingham, England.  Diane’s focus has always been on the connection between faith, family and raising healthy children.

My 3 year-old grandson Ambrose drew a mural with markers, not once, but twice on walls in their family home.  First, all over the dining room wall and a year later, all over the upstairs hallway.  Needless to say, my daughter and her husband have had to set some boundaries with markers.  

It is normal in development for children in their early years to push their limits, which is why it is important to start setting boundaries young.  By setting these boundaries and establishing consequences, it helps children develop self-control, supports development, and fosters a moral compass.

Here are some reasons kids and teens need boundaries:

  • Boundaries teach self-discipline
  • Boundaries keep our children safe and healthy
  • Boundaries teach children how to socialize
  • Boundaries teach children how to cope with uncomfortable feelings
  • Boundaries encourage good behavior and good citizenship as they grow older
  • Boundaries are reassuring and actually show children you care about them

In adolescence, kids start testing limits with relationships and their bodies.  The emotional center of the adolescent brain is hyper-sensitive to risk and reward and it often overrides the underdeveloped front of the brain (the prefrontal cortex) where complex thought and decision making happens.  Adolescents are more likely to try things like drinking alcohol, vaping, or driving at dangerous speeds, leaving parents reminiscing of the days of coloring on the walls!

Setting boundaries helps the adolescent brain create pathways as your child grows up.  It shows kids you care about their health and development and makes them feel safe.  Setting firm boundaries and having regular conversations with your children will help them become responsible for their own actions, attitudes and emotions. Maintaining these boundaries will instill character in your children which will encourage them to lead a balanced, and resilient life well into their adult years.  And if your child is anything like my grandson, they will probably “color on the walls” more than once.  That’s ok and it doesn’t mean that your boundaries aren’t worth it.  Boundaries need to be defined more than once for adolescents. 

I’m sure as Ambrose continues to grow older he will need more boundaries set for different reasons.  His parents will have many conversations with him, not because they want to stifle his curiosity or creativity, but because they simply love him and want him to be safe. Don’t be afraid to set boundaries for your kids and teens.  It enhances their ability to cope with life’s disappointments (without drugs like nicotine and marijuana) and helps them gain a sense of control.  Make sure you have regular conversations with your children and, most importantly, love them even in the midst of their mistakes.

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